经导管肺动脉瓣置换术和分支肺动脉支架置入术一站式治疗One-stop strategy of transcatheter pulmonary valve replacement and pulmonary artery branch stenting
张长东,尚小珂,陈澍,李庚,钟禹成,董念国
摘要(Abstract)：
严重肺动脉瓣反流是法洛四联症等复杂先天性心脏病术后远期最常见的合并症,晚期可导致进行性右心室扩张、三尖瓣反流、右心室功能障碍和死亡。后天性分支肺动脉狭窄也是复杂先天性心脏病术后的常见远期并发症。分支狭窄甚至闭塞可导致肺动脉压增高、患侧肺缺血及反复肺炎,同时加重肺动脉扩张和肺动脉瓣反流,极大地影响患者的心肺功能、生存质量及预期寿命。在解剖条件合适的情况下,经导管肺动脉瓣置换术和支架置入术已成为上述两种病症的首选治疗措施,但对于同时存在肺动脉瓣反流和分支肺动脉狭窄的患者,经导管肺动脉瓣置换术和分支肺动脉支架置入术一站式治疗未见报道。两种术式同期实施操作难度较大,本例是这一技术方式的首次报道。
关键词(KeyWords)： 肺动脉瓣反流;分支肺动脉狭窄;经导管肺动脉瓣置换术;肺动脉支架
基金项目(Foundation): 国家重点研发计划（2016YFA0101100）;; 湖北省卫健委创新基金（WJ2019M173）
作者(Author): 张长东,尚小珂,陈澍,李庚,钟禹成,董念国
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